UHC HIGH IMPACT BREAKTHROUGH PLAN D H

OBJECTIVES General: Specific: Attain key 2015- 2016 UHC/MDG impact goals Specific: Intensify regional operations and converge in priority poverty programs/areas To implement model plans on key high impact interventions

HIGH IMPACT BREAKTHROUGH Maternal Care ANC & FBD Teenage Pregnancy Vouchers Infant Care FIC Address Neonatal Deaths Under Five PCV 13 IMCI Halt HIV-AIDS Dx & Tx Peer C. Establishing SDNs Profiling Mapping Matching HIGH IMPACT BREAKTHROUGH INTENSIFIED REGIONAL OPERATIONS Priority Poor NHTS-PR BuB 43 Provinces C1 Provinces Municipalities Rest of the Country Neonate, Infant, Child Adolescent Adult Older Person 2015 TARGETS → 2016 HIGH IMPACT BREAKTHROUGH 15 months

Sin Tax Report on SDN for oversight committees Key Dates t point MDG Report to NEDA Sin Tax Report on SDN for oversight committees Evaluation of PNOY Administration Full National MDG Report SONA M1 Apr M2 May M3 Jun M4 July M5 Aug M6 Sept M7 Oct M8 Nov M9 Dec M10 Jan M11 Feb M12 Mar M13 M14 M15 June M16 M17 2015 2016

Category 1: Provinces with High Poverty Magnitude Provinces where opportunities for growth may be present but the poor are unable to participate in the growth process, list shows provinces with the biggest number of poor household REGION PROVINCE 1 REGION 1 PANGASINAN 2 REGION 4A QUEZON 3 REGION 5 CAMARINES SUR 4 REGION 6 NEGROS OCCIDENTAL 5 ILOILO 6 REGION 7 CEBU 7 REGION 8 LEYTE 8 REGION 9 ZAMBOANGA DEL SUR 9 REGION 11 DAVAO DEL SUR 10 ARMM SULU

Category 2: Provinces with High Poverty Incidence Provinces with lesser opportunities for growth as they are generally characterized by small population, low density, and remote areas REGION PROVINCE 1 CAR APAYAO 2 REGION 5 MASBATE 3 REGION 8 EASTERN SAMAR 4 NORTHERN SAMAR 5 REGION 9 ZAMBOANGA DEL NORTE 6 REGION 10 CAMIGUIN 7 REGION 12 COTABATO (NORTH COTABATO) 8 SARANGANI 9 ARMM MAGUINDANAO 10 LANAO DEL SUR

Category 3: Provinces Vulnerable to Shocks and Disasters Provinces where the marginally non-poor can easily slide to poverty, and the poor can slide deeper to poverty REGION PROVINCE 1 CAR BENGUET 2 ABRA 3 REGION 1 ILOCOS NORTE 4 ILOCOS SUR 5 REGION 2 NUEVA VIZCAYA 6 CAGAYAN 7 ISABELA 8 QUIRINO 9 REGION 3 ZAMBALES 10 PAMPANGA 11 AURORA 12 REGION 4A RIZAL 13 CAVITE 14 LAGUNA REGION PROVINCE 15 REGION 5 CATANDUANES 16 REGION 6 ANTIQUE 17 ILOILO 18 REGION 7 BOHOL 19 REGION 8 SOUTHERN LEYTE 20 EASTERN SAMAR 21 NORTHERN SAMAR 22 LEYTE 23 REGION 9 ZAMBOANGA SIBUGAY 24 ZAMBOANGA DEL SUR 25 REGION 13 AGUSAN DEL SUR 26 SURIGAO DEL SUR 27 SURIGAO DEL NORTE 28 DINAGAT ISLANDS

Summary Focus Geographic Areas Category 1: High Poverty Magnitude 10 Category 2: High Poverty Incidence Category 3: Vulnerable to Shocks and Disasters 28 Total for 5 double category provinces Iloilo (Cat 1 & 3) E. Samar (Cat 2 & 3) N. Samar (Cat 2 & 3) Leyte (Cat 1 & 3) Zamboanga Del Sur (Cat 1 & 3) Total of 43 Priority Provinces

NAPC Identified Municipalities Ensures the inclusion of the funding requirements for local development needs as they are identified at the local level in the budget proposals of participating agencies. Includes a total of 1,411 CCT areas 127 cities & 1,271 municipalities

TOTAL PROGRAMMED AMOUNT DOH FY 2015 BuB Allocation REGION NO. OF PROVINCE BENEFICIARY NO. OF MUNICIPALITY TOTAL PROGRAMMED AMOUNT CAR 6 23 34,629,449 CARAGA 5 30 45,854,410 NCR 1 13 39,297,498 REGION I 4 75 147,099,605 REGION II 47 87,363,410 REGION III 7 76 162,889,312 REGION IV-A 83 211,930,900 REGION IV-B 21 60,687,374 REGION V 51 117,283,185 REGION VI 60 126,282,624 REGION VII 55 122,682,228 REGION VIII 48 77,417,650 REGION IX 3 19 43,630,465 REGION X 29,715,400 REGION XI 25 53,089,750 REGION XII 62,681,600 ARMM 28 50,328,119 PHILIPPINES 81 698 1,472,862,978 67% for HFEP projects 9% for Family Health projects 7% for Infectious disease related projects 17% for other projects, including multi projects

Accelerated & Sustainable Anti-Poverty Program (ASAPP) To reduce poverty in multiple dimensions through the creation of sustainable employment opportunities for the poor Anchored on the Philippine Development Plan Informed by lessons learned from previous poverty reduction efforts Modality is to involve the private sector and LGUs REGION PROVINCE MUNICIPALITY 1 REGION 1 Pangasinan City of Alaminos 2 Bayambang 3 City of Urdaneta 4 Umingan 5 REGION 6 Iloilo Pototan 6 City of Passi 7 Tigbauan 8 Concepcion 9 Negros Occidental San Carlos City 10 Binalbagan 11 La Carlota 12 Hinoba-An (Asia) 13 REGION 7 Cebu Dalaguete 14 Tuburan 15 Santa Fe REGION PROVINCE MUNICIPALITY 16 REGION 8 Leyte Hilongos 17 Abuyog 18 Mahaplag 19 City of Baybay 20 REGION 9 Zamboanga Del Sur Aurora 21 Kumalarang 22 REGION 11 Davao Del Sur Magsaysay 23 Hagonoy 24 Mahayag 25 City of Digos 26 REGION 4a Quezon Burdeos 27 Alabat 28 Agdangan 29 ARMM Sulu Jolo

HIB Preparatory Activities 2015 April May June November M1 M2 M3 M8 TWG UHC High Impact Breakthrough Summit/ Sales Conference Buntis Congress Profiling Training Youth Summit

HIB Impact Activities (1 & 2) May ‘15 June ‘15 Sept ‘15 Mar ‘16 M2 M3 M6 M12 Impact 1 NDP Deploy-ment in Barangays Impact 2 KP HIB Caravan

HIB Impact Activities (3) July ‘15 Oct ‘15 Jan ‘16 Apr ‘16 M4 M7 M10 M13 RAIDERS Mass deworming Nutrition (ASAPP) Blood donation (voluntary) and networking Garanti-sadong Pambata

HIB Impact Activities (4-7) Dec ‘15 Feb ‘16 M9 M11 Impact 4 Ultrasound Impact 5 Child Injury Prevention (First Aid Kit) Impact 6 Gawad Kalusugan Impact 7 HIV Voluntary Testing

KP HIB Summit PROFILES OF HIB ACTIVITIES Description Regional offices will convene a summit with all health stakeholders where priority HIB activities for implementation will be introduced and commitment will be secured from all health stakeholders Purpose/ Objectives Communicate urgency of and to advocate the implementation of HIB strategies Assist LGUs in formulating their consolidated High Impact Breakthrough Plans

Profiling Data Description Purpose/ Objective Will include masterlists of target recipients (MWRA, infants, children, and families), pregnancy tracking, and mapping of health facilities and health care providers Purpose/ Objective To gather relevant data on target recipients, health facilities, and health care providers which will inform service delivery activities

KP HIB Caravan Description Purpose/ Objectives Will include the provision of direct health services and commodities (e.g., FP services, immunization, maternal and teen kits, etc.) and information dissemination Purpose/ Objectives Intensify health promotion efforts among target beneficiaries Reach target beneficiaries and provide prioritized direct health interventions in support of existing LGU health services KP HIB Caravan

Totoo ba ang…… TSiSMIS?

Tama, Sigurado, Sapat at Makabuluhang Information System

Example Bullet Point Slide TSiSMIS (Barangay) Tama, Sigurado, Sapat at Makabuluhang, Information System Description: A communication system used by BHWs to effectively gather health information from the people in the community. Purpose/ Objective(s): To provide data on Maternal Deaths, Child Health, TB and other public health concerns. Example Bullet Point Slide

RaIDeRS Reach and Innovate Desired Rational Scores

Example Bullet Point Slide RAIDERS Reach And Innovate Desired Rational Scores Description: Trace defaulters Link between community and RHU Purpose/ Objective(s): To increase the number of fully immunized children by tracing defaulters of routine immunization. To increase the number of pregnant women provided with prenatal and postnatal check-ups and informed on breast feeding. Example Bullet Point Slide

Micronutrient Supplementation Description Micronutrient supplementation will be given to identified undernourished children Purpose/ Objective To improve the overall nutrition of children in the 29 ASAPP municipalities

Harmonious Innovations for Vulnerable populations, Advocacy & Intensified Diagnostic and treatment Strategy Description Will consist of coordinative planning, implementation, monitoring and evaluation activities to address HIV/ AIDS Purpose/ Objectives To increase the number of target beneficiaries that are tested for HIV and are made aware of their status To ensure that 90% of confirmed HIV cases are started on Anti-retroviral Therapy To ensure that 90% of HIV/ AIDS cases with opportunistic infections are properly referred and managed

Reducing Maternal Mortality: National Targets Strategy – KP Indicator Baseline (2014 data) Target 2015 % reduction in maternal deaths from current level - 57%* Pregnant women delivering at facilities 76%* (2.05 out of 2.7 M) 80% (2.2 out of 2.7 M) Poor women using modern family planning 36% (2.48 out of 6.9 M) 40% (2.7 out of 6.9 M)

Reducing Maternal Mortality: Targets 2015 target reduction in maternal deaths vv

Reducing Maternal Mortality: Targets 2015 target no. of facility-based deliveries Region Estimated No. of women pregnant (2.7% of population) in 2015 (B) 2015 Target number of FBD A (B) = C NCR 350,381 280,305 CAR 47,587 38,069 Region 1 136,431 109,145 Region 2 93,519 74,815 Region 3 304,985 243,988 Region 4a 397,563 318,050 Region 4b 81,114 64,891 Region 5   Region 6 199, 964 159, 971 Region 7 Region 8 118,138 94,510 Region 9 101,120 80,896 Region 10 Region 11 133,304 106,643 Region 12 125,684 100,547 CARAGA PHILIPPINES 1,889,826 1,511,859

Reducing Maternal Mortality: Targets 2015 target no. of modern family planning users Region Baseline: No. of poor women of reproductive age (B) 2015 Target number of MFP users A (B) = C NCR 654,982 261,993 CAR 27,045 23,482 Region 1 373,631 149,452 Region 2 38,522   Region 3 8,711 3,484 Region 4a 725,920 Region 4b 142,333 56,933 Region 5 Region 6 237, 127 94, 851 Region 7 Region 8 1,456,639 582,655 Region 9 227,535 91,014 Region 10 Region 11 746,060 298,424 Region 12 151,605 60,642 CARAGA PHILIPPINES 4,552,983 2,253,999

Reducing Child Mortality: National Targets Strategy – KP Indicator Baseline (2014 data) Target 2015 % reduction in infant deaths from 2012 level - 26%** % reduction in under-five deaths from 2012 level 22%** Infants fully immunized 90% (2.07 out of 2.3 M) 95% (2.2 out of 2.3 M) * based on 2012 FHSIS data ** based on 2013 NDHS data

Reducing Child Mortality: Targets 2015 target reduction in infant deaths

Reducing Child Mortality: Targets 2015 target reduction in under-five deaths Region Baseline: No. of U5Deaths in 2014* (B) 2015 Target reduction in Deaths A (B) = C NCR 5693 1252 CAR 417 92 Region 1 635 139 Region 2 249 55 Region 3 679 149 Region 4a 1918 422 Region 4b 562 124 Region 5   Region 6 1862 410 Region 7 Region 8 118138 94510 Region 9 702 154 Region 10 Region 11 1246 274 Region 12 707 155 CARAGA PHILIPPINES 132808 97736

Reducing Child Mortality: Targets 2015 target no. of fully immunized children Region Baseline: No. of infants (2.7% of population) (B) 2015 Target number of FIC A (B) = C NCR 350,381 332,862 CAR 46,803 44,463 Region 1 136,431 129,609 Region 2 93,519 88,843 Region 3 304,985 289,736 Region 4a 397,563 377,685 Region 4b 81,114 77,058 Region 5   Region 6 202,000 191, 900 Region 7 Region 8 1,456,639 582,655 Region 9 101,120 96,064 Region 10 Region 11 133,304 126,639 Region 12 125,684 119,399 CARAGA PHILIPPINES 3,429,543 2,265,013

Control & Eliminate Infectious Diseases: Targets Strategy – KP Indicator Baseline (2014 data) Target 2015 HIV/AIDS cases diagnosed and given treatment 8,030 11,384

Control & Eliminate Infectious Diseases: Targets Target No. of HIV/AIDS cases diagnosed and given treatment in Category A areas Region 2015 Target No. of HIV/AIDS cases diagnosed and given treatment in Category A areas NCR 2719 Region 3  1,011 Region 4A 946 Region 6 397 Region 9 67 Region 11 879 Total 6,019

Establish a Functional Service Delivery Network: Targets Strategy – KP Indicator Baseline (2014 data) Target 2015 Number of families assigned to a SDN - 50% Especially in 43 priority provinces Number of SDN formed  

Establish a Functional Service Delivery Network: Targets Region Baseline: No. of Families (especially to the 43 priority provinces) (B) 2015 Target number of families assigned to a SDN A (B) = C Number of SDN formed NCR 219,845 217,568 17 CAR 55,570 27,785   Region 1 309,635 154,818 Region 2 106,501 53,250 Region 3 129,790 64,895 Region 4a 431,720 215,860 Region 4b* 156,770 78,385 Region 5 670,053 335,027 Region 6 684,729 342,365 Region 7 Region 8 56,473 28,237 19 Region 9 214,151 107,076 11 Region 10 Region 11 154,898 77,449 Region 12 139,314 69,657 CARAGA 216,199 108,099 PHILIPPINES 3,545,648 1,880,470

HIB Regional Offices’ Budgets Budget (Php) NCR 16,455,895 CAR 43,451,634 Region 1 172,713,703 Region 2 15,000,000 Region 3 14,000,000 Region 4a 79,791,607 Region 4b 7,000,000 Region 5 198,027,003 Region 6 139,433,000 Region 7 25,924,971 Region 8 29,433,150 Region 9 21,867,291 Region 10 42,263,220 Region 11 16,111,656 Region 12 4,552,000 CARAGA 51,366,335 PHILIPPINES 860,935,570

HIGH IMPACT BREAKTHROUGH MMR ANC & FBD Teenage Pregnancy Vouchers IMR FIC Address Neonatal Deaths U5MR PCV 13 IMCI HIV/AIDS Dx & Tx Peer C. SDN Profiling Mapping Matching HIGH IMPACT BREAKTHROUGH t point 2015 MDG Report to NEDA 2016 Sin Tax Report on SDN for oversight committees Full National MDG Report Evaluation of PNOY Administration SONA M1 Apr M2 May M3 Jun M4 July M5 Aug M6 Sept M7 Oct M8 Nov M9 Dec M10 Jan M11 Feb M12 Mar M13 M14 M15 M16 M17 Ultrasound (43 prov.) Blood donation and networking PCV 13 (43 prov.) PBI LGUs (Gawad Kalusugan) Transport Caravan/Roadshow RAIDERS Kits: Maternal and Teen SDN for every Family Micronutrient ++ (ASAPP) Mass deworming (2x/year) 2015 TARGETS → 2016 HIGH IMPACT BREAKTHROUGH M3-M6 M6-M9

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